A 66-year-old man with type 2 diabetes and 40 pack-year smoking history presents with cramping calf pain after walking two blocks that resolves with rest. Vital signs: BP 158/92, HR 88, RR 16, temp 37°C, SpO2 98%. Physical exam reveals diminished dorsalis pedis pulses bilaterally and cool feet. ABI is 0.62. Coronary angiography performed for chest pain shows 70% left anterior descending stenosis. No acute coronary syndrome on troponin. What is the most likely diagnosis?
- A)Chronic venous insufficiency
- B)Cellulitis
- C)Lymphedema
- D)Peripheral arterial diseaseGABARITO
- E)Deep venous thrombosis
Explicação
Peripheral arterial disease is correct. Atherosclerotic narrowing of lower extremity arteries causes intermittent claudication, diminished pulses, and cool extremities. Smoking and diabetes are major risk factors. Ver explicação completa e trilha adaptativa →